Provider Demographics
NPI:1003781030
Name:TAKPIMIVBIOMO, FLORENCE DUROJAIYE
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:DUROJAIYE
Last Name:TAKPIMIVBIOMO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4306 RUSTLING LEAVES TER
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3608
Mailing Address - Country:US
Mailing Address - Phone:240-377-1069
Mailing Address - Fax:
Practice Address - Street 1:4306 RUSTLING LEAVES TER
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3608
Practice Address - Country:US
Practice Address - Phone:240-377-1069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200005170374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide